Provider Demographics
NPI:1881999324
Name:BARTLETT, TYLER GORDON (DC)
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:GORDON
Last Name:BARTLETT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:644 FRANKLIN PIERCE HWY
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03825-7397
Mailing Address - Country:US
Mailing Address - Phone:603-343-8565
Mailing Address - Fax:603-664-6726
Practice Address - Street 1:644 FRANKLIN PIERCE HWY
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:NH
Practice Address - Zip Code:03825-7397
Practice Address - Country:US
Practice Address - Phone:603-664-6724
Practice Address - Fax:603-664-6726
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-13
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3277111N00000X
NH868-0510111N00000X
MECR2016111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor